Chinese urban-rural disparity in pandemic (H1N1) 2009 vaccination coverage rate and associated determinants: a cross-sectional telephone survey
Chinese urban-rural disparity in pandemic (H1N1) 2009 vaccination coverage rate and associated determinants: a cross-sectional telephone survey
复制标题
DOI：
10.1016/j.puhe.2013.06.007
复制
发表时间：
2013-10-01
期刊：
影响因子：
5.2
通讯作者：
Yan, W.
中科院分区：
文献类型：
--
作者：
Peng, Y.;Xu, Y.;Yan, W.
目的：本研究的目的是检验2009年甲型H1N1流感疫苗接种率在中国城乡之间的差异，并探讨城乡差异的相关因素。研究设计：横断面研究。方法：数据来源于在中国大流行高峰后不久在七个城市和两个农村地区进行的横断面电话调查，中国公众对2009年甲型H1N1流感疫苗接种及相关知识、态度和行为的认识。结果：农村居民接种率低于城市居民（8.9%比11.2%，P = 0.002）。在未接种过疫苗的人群中，82.2%的农村受访者表示愿意接种甲型H1N1流感疫苗，明显高于城市受访者（55.3%）。接种疫苗的主要障碍是“未被告知接种疫苗”，其中农村人口的比例高于城市人口（71.9% vs 68.8%，P = 0.009）。结果表明，城乡居民流感疫苗接种率和相关影响因素以及接种意愿存在显著差异，城乡居民流感疫苗接种率和相关影响因素存在显著差异。为了提高今后类似疫苗接种方案的有效性，需要专门针对农村人口开展运动，以解决接种方面的差距。皇冠版权所有（C）2013由爱思唯尔有限公司代表皇家公共卫生学会出版。All rights reserved.
Objectives: The present study aimed to examine the differences in pandemic (H1N1) 2009 vaccination coverage rate between urban and rural areas in China, and to explore factors associated with any urban-rural differences.Study design: Cross-sectional study.Methods: Data were derived from a cross-sectional telephone survey performed in seven urban and two rural areas soon after the pandemic peak in China, concerning pandemic (H1N1) 2009 vaccination and associated knowledge, attitudes and practices among the general population in China. A total of 10 669 participants aged 18 years and above participated in the study.Results: Vaccination amongst rural residents was less than urban residents (8.9% vs 11.2%, P = 0.002). Among those who have not been immunized, 82.2% of rural respondents showed a willingness to get vaccinated against A/H1N1, significantly higher than that of urban respondents (55.3%). The major barrier to vaccination was reported as `not being informed to get vaccination', of which there was a greater proportion in rural than urban population (71.9% vs 68.8%, P = 0.009). The analysis revealed a number of factors which contribute to this disparity: previous experience of vaccination against flu, degree of awareness of the free vaccination policy, and sociodemographic differences between urban and rural areas.Conclusions: Significant discrepancies existed in the pandemic (H1N1) 2009 vaccination coverage rate and associated determinants, as well as the intention to get vaccinated between urban and rural residents. To improve the effectiveness of similar vaccination programmes in the future, campaigns for rural people need to be specifically tailored to address disparities in uptake. Crown Copyright (C) 2013 Published by Elsevier Ltd on behalf of The Royal Society for Public Health. All rights reserved.